Organization
TOLLAND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MULLANEY RPT (PARTNER)
(860) 875-4816
Entity
Organization
Contact information
Practice address
384 MERROW RD STE B, TOLLAND, CT 06084-3971
(860) 875-4816
(860) 875-2053
Mailing address
384 MERROW RD STE B, TOLLAND, CT 06084-3971
(860) 875-4816
(860) 875-2053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003038
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0V1704
HEALTHNET PROVIDER NUMBER
CT
01
—
A685551
OXFORD PROVIDER NUMBER
CT
Enumeration date
05/17/2007
Last updated
08/22/2020
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